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Home My WebLink AboutPermit Plumbing 2020-02-14OREGON web Address: www.springfield-or. gov Building Permit Residential Plumbing Permit Number: 811-2O-OOO292-PLM-Ol IVR Number: 811064912513 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 Email Add ress : permitcenter@springfield-or.9ov SPRINGFIELD ,rb Permit Issued: February 14,2O2O TYPE OF WORK Category of Construction: None Specified Submitted Job Value: $0.00 Description of Work: Demo House Type of Work: None Specified ,OB SITE INFORMATION Worksite Address 895 S 57TH ST Springfield, OR 97478 Parcel 1802041400400 Owner: Address: SORRIC RICK PO BOX 10092 EUGENE, OR 97440 LICENSED PROFESSIONAL INFORMATION Business Name OWNER - Primary License CCB License Number 000000 Phone PENDING INSPECTIONS Inspection 3999 Final Plumbing Inspection Group Plumb Res Inspection Status Pending SCH EDULING INSPECTIONS Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issuing jurisdiction indicated on the permit to determine required inspections for this project. Schedule or track inspections at www'buildingpermits'oregon'gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811064912513 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store PERMIT FEES Fee Description Technology Fee Fixture cap State of Oregon Surcharge - Plumb (t2o/o of applicable fees) Quantity Total Fees: permits expire if work is not started within 18O Days of issuance or if work is suspended for 18O Days or longer dePending on the issuing agency's policy. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Granting ofa permit does not presume to give authority to violate or cancel the provisions ofany other state or local law regulating construction or the performance of construction. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9S2-OO1-OO1O through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (503) 232-19A7. All persoos or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.01O-O20 (Plumbing). printed on: 2/14120 page I of 2 c:\myReports/reports//prcduction/01 STANDARD 1 Fee Amount $5.10 $102.00 $t2.24 $ 1 19.34 Permit Number: 81 1-20-OOO292-PLM-01 Ptinted on:2/14/2A Page 2 of 2 Page 2 of 2 C: \myReports/reports//production/o1 STANDARD SPRINGFIELD ,b OREGON www.springf ield-or.gov Worksite address: 895 S 57TH ST, Springfield, OR 97478 Parcel: 1 802041400400 Transaction Receipt 811-20-000292-PLM-01 IVR Number: 81 10649125{3 Receipt Number: 473816 Receipt Date:21'14120 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 permitcenter@spri ngfi eld-or. gov Transaction Units date 2114120 1.00 Qty 2t14t20 2114t20 1.00 Ea 1.00 Automatic Technology Fee Description Fixture cap State of Oregon Surcharge - Plumb (12o/o ol applicable fees) 224-OOOO0 -425603- 1 034 821 -00000-21 5004-0000 204-00000-425605-0000 Fees Paid Account code Fee amount $102.00 $12.24 $5.10 Paid amount $102.00 $12.24 $5.10 Payment Amount:$119.34Check number: 5968 Payer: SORRIC RICKPayment Method Cashier: Katrina Anderson Receipt Total:$1 19.34 Pfinled:2114120 202Pm Page I of 1 F I N-Tra nsaction ReceiPt-Pr Crryor S PRTNGFTELo, ORTGoN Plumbin g Permi t Application SPfTIilGFTELO & This permit is issued under oAR 91g-7g0-0060. permits are issuedexpire if work is not started within tSO aays oiissuance or if work only to the person or contractor doing the work. permits is suspended for I80 days. ZZS Ritt St ..t r Springfield,OR97477 o PH(s41)726-37s3 . F.dx(54 t)726-3689 DEPARTMENT USE ONLY Permitno.,2O -(nO aarL Date:.{>{) LOCAL G ENTOVERNM ALAPPROV Zoning approval verifi ed?lves lNo Sanitation approval verified?flYes nNo TCA EG o OFRY coNs TRUCTION I Govemment ! Commercial JOB SITE oINFORMATI N AN D LOCA TION 5 4FJob site address State:7 Reference:Taxlot. ZIP DESCRIPTION OF PROPERW OWNER Name Address: city: LlJ I oJG stut", f,74-.ZtP:41?-/ 110 prrone:(Vl _-LZf _ z_b o4 Fax A- or a on L propert! and is farmor -69s8 -0020. E-mail This installation is r.Su owned exempt ALLATION Business name Address City:ZIP Phone:Fax: E-mail: CCB license no.BCD license no. Plumbing license no. Print name Signature FEE SCHEDULE Description Qty Cost ea. Total cost New residential $ 2 bathrooms/l kitchen 3 bathrooms/l kitchen $ Each additional bathroom over 3)132.00 Each additional kitchen I 132.00 Residential fire udes 0 to 2,000 feet 102.00 s 2,001 to 3,600 feet 63.00 $ 3,601 to 7,200 square feet .00 $ 7,20t feet and greater $ Manufactured or to sewer water 02.00 $ andindustrial,thanother orone-Commercial,dwellings two- Minimum fee 02.00 $ Each fixture $ Miscellaneous fees 100' storm, sewer, water line s Each fixfure, appurtenance, and $ 06.00 $ Irrigation $ I feet or stormprivate $ Specialty fixtures $2- Reinspection (no. ofhrs. x fee per hr.)102.00 $ 102.00 $ Each additional inspection: (l)102.00 $ Minirnurn fee $ Enter value of installation and equipment $ _. Enter fee based on installation and value.$ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00)$o7 (B) Investigative fee (equal to [A])$ (C) Enter l2%(.12 x l)$ (D) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through D):$3 Lasr edired 7/l/2019 bjones rrtt/:l ,,, State: 152r.00 $ 1613.00 $ $324.00 one) 125.00 i106.00 i25.00 Storm water retention/detention facility i25.00 i25.00 ;25.00 Special requested inspections (no. of hrs. x fee per hr.) Medical qas piping